Horn has been increasing in size for 1 year. Patient is poor. Obviously this needs a biopsy but that will be very difficult so unknown if it is benign or malignant. Thoughts on management?

(Edited)

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Diagnosis; Cutaneous Horn Cutaneous horn is a reaction pattern rather than specific condition. On histopathology different types of lesions can be seen at base of cutaneous horn. Most common conditions are as follow. 1 Actinic keratosis 2 Seborrheic keratosis 3 Squamous cell carcinoma 4 Basal cell carcinoma 5 trichilemmoma (Excision biopsy can be easily done at Teaching medical institution or charitable medical institution).

It may be SCC BCC

I agree with Dr. Pankaj

Agree with Dr Pankaj

Sebaceous horn can be excised under local Anaesthesia

Simple Excision biopsy or Electro cautery can be done